The increasing use of recreational nitrous oxide (O) in the Netherlands and its link to traffic accidents highlights the need for reliable detection methods for law enforcement. This study focused on ex vivo detection of O in exhaled breath and examining its persistence in the human body. Firstly, a low-cost portable infrared based detector was selected and validated to detect O in air. Then, the influence of interferents and conditions potentially influencing the analysis were evaluated including relative humidity, ethanol, acetaldehyde and . Subsequently, O breathing dynamics were evaluated in vitro and ex vivo. Initially, a lung simulator was used to model respiratory mechanics and O decay, revealing detectable O levels up to 90 min after exposure. In the final part of this study, a controlled single and double dose of O gas was administered to 24 volunteers in an operating theatre. The presence of O in exhaled breath of the volunteers was analysed using infra red spectroscopy every 12-15 min. Our results show that O was detectable in exhaled breath for a minimum of 60 min post-administration and revealed a window of detection to potentially measure O for law enforcement and forensic purposes.
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